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1942718879
TERRI DIANE RICHARDSON
LITTLE ROCK, AR
NPI
1942718879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR A005341)
Enumeration Date
2018-01-12
Last Update Date
2018-01-31
Business Address
TERRI DIANE RICHARDSON PMHNP
4 EXECUTIVE CENTER CT
LITTLE ROCK, AR 72211-4487
Phone number: 501-448-0060
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Mailing Address
TERRI DIANE RICHARDSON PMHNP
5023 GRANT 58
REDFIELD, AR 72132-8537
Phone number: 501-658-9160
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